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Marquita Tavisia Brown
Peer Specialist in Ardmore, Oklahoma
NPI 1821715210

Marquita Tavisia Brown is a Peer Specialist based in Ardmore, OK. Marquita Tavisia Brown practices in Ardmore, OK. The NPI Number for Marquita Tavisia Brown is 1821715210 and holds a License No. (Oklahoma).

The current practice location address for Marquita Tavisia Brown is 1105 E St Nw, Ardmore, OK and can be reached out via phone at 580-630-4089. You can also correspond with Marquita Tavisia Brown through the mailing address at 1105 E ST NW, ARDMORE, OK - 73401-4267 (mailing address contact number: 580-630-4089).

Location: 1105 E St Nw, Ardmore, OK, 73401-4267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821715210
Provider Name
Marquita Tavisia Brown
Credential
Provider Entity Type
Individual
Gender
Female
Address
1105 E St Nw, Ardmore, OK, 73401-4267
Phone Number
580-630-4089
Fax Number
Provider Enumeration Date
10/26/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A926225446 01 OK OKLAHOMA DEPARTMENT OF PUBLIC SAFETY
institution
Provider Business Practice Location Address Details
Address
1105 E St Nw
City
Ardmore
State
Oklahoma
Zip
73401-4267
Phone Number
580-630-4089
Fax Number
person
Provider Business Mailing Address Details
Address
1105 E St Nw
City
Ardmore
State
Oklahoma
Zip
73401-4267
Phone Number
580-630-4089
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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